[Donald Corenman, MD, DC]

#10773

I appreciate all the effort that you underwent to place your images on the website. I need to see the images on a CD in my office so I can fully understand the images and their relationship to each other. Also, my internet technologies expert frowns on review over the internet for fear of viruses.

You can copy your DVD or CD and send the copy to me if you choose.

Dr. Corenman

PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

[nikserer]

#10779

Thanks again dr. for your time,
I will see if I can send you copy of my CT and MR scans on CD…
I just wanted to hear your opinion from these few images I uploaded on imgur. You can be sure that there is no viruses in my files because I use this PC for work and always new antivirus updated software.
But as you and my surgeon already told me and from my research from net, curves like mine (over 50 degrees) with some already neural foraminal stenosis will tend to progress and degenerate over years and pqin will be greater. So, I guess than only solution for me is:
1. Decompression of pinched nerves,
2. Mobilization of lumbar spine with possible discectomy,
3. Correction and stabilization with fusion of spine from T10 to sacrum.
Correct me if I am wrong in some procedures, and my question will be: Can all this be done in one surgery, and also can it be done from posterior only?
Thanks in advance, and happy Easter holidays.
Nikola

[Donald Corenman, MD, DC]

#10783

This can probably all be done from a posterior approach. It can also be performed at one sitting but I generally perform the posterior reduction of the lumbar spine one day and then two days later reduce and fuse the thoracic spine. There are surgeons who do this at one setting.

Dr. Corenman

PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

[nikserer]

#10787

Ok, dr. thanks for your explanation.

[nikserer]

#11401

Hello dr.
I am soon going to my second spinal fusion but this time for my lumbar scoliosis and pain while prolonged standing/sitting/walking. But first have to do one (unexpected) smaller surgery (MOh’s) – recidive of dermatofibrosarcoma protuberans on my head. (7th one…).
My question for you now is: Does my urinary problems like feeling pressure in bladder and increased urinary frequency, sensation that the bladder is not empty, even I am done urinating can be related with my spine condition – expecially lower spine scoliosis (55 degrees)-(neurogenic bledder?)?
My newest MRI is showing some foraminal stenosis and scar granulations in epidural space on left side of L5/S1 fusion. Also there are events of hypertrophic radiculopathy on L5 radix and mild anular disc bulging in segments L2-L5 without significant compresing dural space.
My urologist told me on last check that I have mild enlarged prostate and only gived me some herbal medication. He said also that my urinary problems could be in relation with my lower spine condition. I am confused with this for year and more, because from time to time I have this symptoms and this herbal medication don’t help me at all.
My neurosurgeon said that he will corect scoliosis (how much is possible) and fuse it from T10 to sacrum(or pelvis).
Just to remind you that I am male/44 years, have double “S” scoliosis (about 55 degrees both curves) and last year (January) had fusion at L5/S1 for spondy and DDD.
Thanks in advance and all the best.
Nikola

[Donald Corenman, MD, DC]

#11424

Urinary conditions; “pressure in bladder and increased urinary frequency, sensation that the bladder is not empty” could be due to cauda equina syndrome (compression of the nerves in the canal below L1) but the symptoms tend to be very different. In addition, there has to be evidence on MRI or CT that there is significant compression in the canal.

Cauda equina syndrome symptoms tend to come on very quickly and is associated with pain and numbness in the perianal region (the groin and buttocks region). Lack of sensation should be noted when you wipe yourself and this numbness (saddle anesthesia) should be very prominent.

Sensation of fullness of the bladder is lost and overflow incontinence (urine exits the penis without sensation of this act) due to the bladder being too full is common. Inability to contract your anal sphincter is also a mark of this syndrome.

There is no evidence of canal compression on your MRI so this also corroborates that you do not have cauda equina syndrome.

If your neurosurgeon is talking about fusion of T10 to the sacrum, I hope he is either considering a fusion of the thoracic spine in the near future or does not correct the lumbar spine too much. The thoracic spine has to match the curve of the lumbar spine in your case and too much correction will throw you off balance.

Dr. Corenman

PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

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